Insured people can claim for appropriate treatment following an accident. In the event of an accident or work-related disease they are entitled to claim for care and expenses.
Insured people can claim for appropriate treatment following an accident. This entitlement covers:
- outpatient treatment from a doctor, dentist or chiropractor and, if medically prescribed, by medical auxiliaries
- medication and examinations prescribed by a doctor
- treatment, board and accommodation in the general ward of a hospital
- medically prescribed follow-up and spa therapy, aids and equipment designed to facilitate the healing process.
The accident insurance will pay, within the applicable tariffs, the costs of aids (for example prostheses and hearing aids) to compensate disability or loss of function.
Damage to medical aids
The accident insurer will cover damage to medical aids replacing a body part or a bodily function.
Travel, transport and rescue costs
The accident insurance will cover medically necessary travel, transport and rescue costs up to an unlimited amount, although restrictions apply outside Switzerland. If costs of this sort are incurred outside Switzerland they will be covered up to a maximum of one-fifth of the statutory maximum insured income.
Treatment outside Switzerland:
In the event of necessary treatment abroad, the insured is covered for up to double the amount that would be covered in Switzerland.
Costs of transporting dead bodies and burial
The necessary costs of transferring the body to the place of burial will be paid. Costs incurred abroad for transferring the body to the place of burial will be covered up to a maximum of one-fifth of the statutory maximum insured income.
Assistance and care at home
The accident insurance will cover medically prescribed care at home. It will also pay for non-medical assistance at home if this is not covered by an attendance allowance.
Last modification 05.07.2018